The different clinical presentations of vasovagal syncope

Heart
Paolo Alboni

Abstract

For some decades, after the introduction of the head-up tilt test into clinical practice, the clinical presentation of vasovagal syncope (VVS) has been classified as typical (or classical) and atypical (or non-classical). Some clinical features and recent data suggest that even unexplained falls and syncope during sleeping hours may be possible clinical presentations of VVS. In recent studies, tilt testing and carotid sinus massage by means of the 'method of symptoms' were performed in one group of patients with unexplained falls and in another group with unexplained syncope (presence of prodromal symptoms). Overall, tilt testing and carotid sinus massage displayed a high positivity rate in the group of patients with unexplained falls (about 60%), which was similar to that of the unexplained syncope group. These new data seem to indicate that some unexplained falls could be cases of atypical VVS/carotid sinus syncope with retrograde amnesia. Some clinical features suggest that syncope during sleeping hours is a form of VVS with a different clinical presentation: high prevalence of autonomic prodromes, of diurnal episodes of typical VVS and specific phobias, and of positive tilt testing with severe cardioinhibition.

References

Jan 1, 1980·Endocrine Reviews·J W Rowe, B R Troen
Aug 1, 1983·The American Journal of Medicine·M A PfeiferJ B Halter
Jul 1, 1996·Journal of the American College of Cardiology·D G BendittD L Wood
Mar 14, 1998·Postgraduate Medical Journal·F E Shaw, R A Kenny
Feb 24, 2001·European Heart Journal·S W Parry, R A Kenny
May 3, 2001·Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology·L A Graham, R A Kenny
Jun 13, 2001·Journal of the American College of Cardiology·P AlboniN Bottoni
Feb 28, 2002·The American Journal of Cardiology·Enrico PuggioniNicola Bottoni
Apr 11, 2003·The American Journal of Cardiology·Karin S GanzeboomWouter Wieling
Dec 31, 2003·Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology·Paolo AlboniAlberto Solano
Apr 16, 2004·Heart·C T P KredietW Wieling
Oct 14, 2004·Clinical Autonomic Research : Official Journal of the Clinical Autonomic Research Society·N ColmanH Kaufmann
Jun 7, 2005·Journal of the American College of Cardiology·Steve W ParryRose Anne Kenny
Nov 9, 2005·The American Journal of Cardiology·Attilio Del RossoAntonio Raviele
Jan 24, 2006·Journal of Cardiovascular Electrophysiology·Robert S SheldonUNKNOWN Investigators of the Syncope Symptom Study and the Prevention of Syncope Trial
Feb 16, 2006·Clinical Autonomic Research : Official Journal of the Clinical Autonomic Research Society·David L JardineWouter Wieling
Feb 12, 2008·Journal of the American College of Cardiology·Maw Pin Tan, Steve W Parry
May 2, 2008·Clinical Autonomic Research : Official Journal of the Clinical Autonomic Research Society·Jacobus J C M RommeWouter Wieling
Jul 10, 2009·Brain : a Journal of Neurology·Wouter WielingJ Gert van Dijk
Aug 29, 2009·European Heart Journal·UNKNOWN Task Force for the Diagnosis and Management of SyncopeWouter Wieling
Sep 8, 2010·Sleep Medicine·L BusweilerW Wieling
Jan 14, 2011·Journal of the American Geriatrics Society·UNKNOWN Panel on Prevention of Falls in Older Persons, American Geriatrics Society and British Geriatrics Society
Mar 26, 2011·Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology·Clodagh O'DwyerRose Anne Kenny
Jun 27, 2013·Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology·UNKNOWN European Society of Cardiology (ESC)Panos E Vardas
Aug 31, 2013·Aging Clinical and Experimental Research·M RafanelliA Ungar
Dec 18, 2013·Brain : a Journal of Neurology·J Gert van DijkWouter Wieling
Mar 29, 2014·Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology·Maggi RobertoUngar Andrea
May 20, 2014·Journal of Cardiovascular Medicine·Paolo AlboniVassiliki Tsakiridu

❮ Previous
Next ❯

Citations

Jun 25, 2016·QJM : Monthly Journal of the Association of Physicians·R A Kenny, T McNicholas
Jul 23, 2016·Neurologic Clinics·Inna Kleyman, Louis H Weimer
Jul 12, 2018·Dermatologic Surgery : Official Publication for American Society for Dermatologic Surgery [et Al.]·Wesley J WuBlake R Zelickson
Jul 13, 2019·High Blood Pressure & Cardiovascular Prevention : the Official Journal of the Italian Society of Hypertension·Simone RomanoPietro Minuz
May 8, 2020·Journal of Interventional Cardiac Electrophysiology : an International Journal of Arrhythmias and Pacing·Alan GarciaJorge Gomez-Flores
Aug 1, 2020·BioMed Research International·Shanshan MaLanjuan Li
Oct 21, 2020·Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology·Michele BrignoleAndrea Ungar

❮ Previous
Next ❯

Related Concepts

Related Feeds

Antifungals

An antifungal, also known as an antimycotic medication, is a pharmaceutical fungicide or fungistatic used to treat and prevent mycosis such as athlete's foot, ringworm, candidiasis, cryptococcal meningitis, and others. Discover the latest research on antifungals here.

Anxiety Disorders

Discover the latest research on anxiety disorders including agoraphobia, panic disorder, obsessive-compulsive disorder, and post-traumatic stress disorder here.

Antifungals (ASM)

An antifungal, also known as an antimycotic medication, is a pharmaceutical fungicide or fungistatic used to treat and prevent mycosis such as athlete's foot, ringworm, candidiasis, cryptococcal meningitis, and others. Discover the latest research on antifungals here.

Related Papers

Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology
Pietro GuidaStefano Favale
© 2021 Meta ULC. All rights reserved